Provider Demographics
NPI:1396787966
Name:HAMID, CORP.
Entity type:Organization
Organization Name:HAMID, CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-782-1025
Mailing Address - Street 1:CARR 2 SUITE 1 ZONA M 139
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-4427
Mailing Address - Country:US
Mailing Address - Phone:787-782-1025
Mailing Address - Fax:787-749-0875
Practice Address - Street 1:CARR 2 KM 7.2 BO JUAN DOMINGO
Practice Address - Street 2:STE 1
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1806
Practice Address - Country:US
Practice Address - Phone:787-782-0728
Practice Address - Fax:787-749-0875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR11F05813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4003872OtherNCPDP PROVIDER IDENTIFICATION NUMBER